		      



		      =============================
		            SIEGE! ORDER FORM 
		      =============================
		     




  

       NAME:_____________________________________________________
       
       ADDRESS:__________________________________________________

	    _____________________________________________________

       CITY:________________________ STATE/PROV:_________________ 

       ZIP CODE:________________ PHONE/FAX:______________________

			     COUNTRY (if not USA):_______________





		   
	      
						   
	   U.S. ORDERS:  _____ copies @ $15.00 ea : _______ 

		      shipping add $4.00 per copy : _______

		     NJ residents add NJ sales tax: _______

      

				  >> TOTAL PAYMENT: _______





	       Make payable to Anarchy Entertainment Inc.

				MAIL TO:       
			  Anarchy Entertainment
			  106 West Franklin Ave    
			  Pennington, NJ  08534      
		      
		FOREIGN ORDERS:  Checks mailed to our USA
		  address must be drawn in US Dollars.
   



				       

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	   Psst...  Take a second or two to help us out, would ya?
		  
     Mail this to:            Fax it to:       Or EMail it to:
	
     Anarchy Entertainment    (609) 737-3787   info@anarchyent.com
     106 West Franklin Ave    
     Pennington, NJ  08534      
 
		Where did you get the Siege Demo?

     Downloaded from:
     [ ]  Software Creations BBS 
     [ ]  Other BBS: Name: ________________________________________________
     [ ]  CompuServe (CIS): Forum Name: ___________________________________
     [ ]  America Online (AOL)
     [ ]  Genie: RoundTable  (RT) Name: ___________________________________ 
     [ ]  Delphi: Special Interest Group (SIG) Name: ______________________
     [ ]  Internet FTP Site: Site Name: ___________________________________
     [ ]  Anarchy Entertainment's WEB or FTP Site

     Purchased from:
     [ ]  Catalog Vendor: Vendor Name: ____________________________________
     [ ]  Retail (Store, flea market, computer fair): 
	  Store / Vendor Name:  ___________________________________________

     Other:
     [ ]  A friend gave it to me
     [ ]  None of the above
     [ ]  Unknown
 
     Please feel free to include any other comments you may have!

